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09/07i2®01 16:36 6842627 QBRENILA'fBAR . PAa�E14 <br /> A[li7iiEaa OR LOCATIC%il :_ _ '•• �'� ^" ` <br /> m4ER ! <br /> DATE /01'/Cm e3 a, SGML PROFILE <br /> APPLICATION NO. (IF 'REQUIRED) <br /> DEPTH -TO FIRST WATER` SIZE OF BORING_ r. <br /> ,OIL TYPE: -- ii 2' <br /> REMARKS! <br /> LOCATION OF TEST HOLES (SHOW WELLS & STRUCTC3RES) � <br /> 4• <br /> 5' <br /> 14 �F <br /> 7 <br /> +GF. <br /> r • TENT HOLE 49 TEST HOLE At/C <br /> TIME READINGi WATER DROP REFILLED TIME READING [CATER DROP REFILLED <br /> 8; <br /> vv- <br /> It 1F <br /> cto -L Jr <br /> f 1 Z '- ` 3 , o' r �+- ►.ria L.�,+ . <br /> + •/ <br /> PERCOLATION RATE:, + PERCOLATION RATE: <br /> RECOMMENDED SEPTIC AREA RECOMMENDED SEPTIC AREA- <br /> TEST PERFORMED BY: <br /> TEST CERTIFIED BY : <br /> OBSERVED BY (SANIThRIAN) I - — <br />